FORM 1023-EZ for WATSON LUTHERAN CEMETERY ASSOCIATION

Field Data
EIN 83-3155376
Case Number EO-2019063-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WATSON LUTHERAN CEMETERY ASSOCIATION
Organization’s Mailing Address 195 CHURCH LANE
City WATSON
State MN
ZIP 56295
Accounting period End 1
Primary contact name AMBER MOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER MOLDEN
OFFICER
135 EAST RONNING AVENUE
APPLETON MN 56208

Officer/Director/Trustee Two

WAYNE GUSTAFSON
TREASURER
1406 NORTH 5TH STREET
MONTEVIDEO MN 56265

Officer/Director/Trustee Three

LAWRENCE CHRISTENSON
OFFICER
1633 NORTH 6TH STREET
MONTEVIDEO MN 56265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMBER MOLDEN
Signature Title OFFICER
Signature Date 2/28/19

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